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#2789
Network News Fall Edition 2012
Employees Group Insurance Division
Of the Office of Management and Enterprise Services
HealthChoice to Implement
Bariatric Surgery Pilot Program
He lthChoice Provider
Our Name Has
Changed
On August 24, 2012,
OSEEGIB, the plan administrator
for HealthChoice, Department
of Corrections (DOC), and
Department of Rehabilitation
Services (DRS) changed its name.
We are now called the Employees
Group Insurance Division (EGID)
of the Office of Management and
Enterprise Services (OMES).
Our website has been updated
to reflect our new name; however,
providers should be aware that they
will continue to receive the same
dedicated service we have always
provided.
HealthChoice is offering a
Bariatric Surgery Pilot Program
to 100 members starting January
1, 2013. The focus of this pilot
program is to achieve quality
outcomes and the improved health
of our approved members.
The first 100 members
that meet the participation and
certification criteria will be
allowed in the Bariatric Surgery
Pilot Program. Clinical criteria is
determined by certification through
the HealthChoice certification
administrator.
Participation criteria:
yy Age 25–55
yy Non-tobacco user
yy No other primary group
health coverage or primary
coverage with Medicare
yy Member must be covered
under the HealthChoice
plan 2 years prior to and
2 years after the approved
surgery date
yy HealthChoice USA and
HealthChoice Alternative
Plan participants are not
eligible.
The Bariatric Surgery
procedures available are:
yy Band
yy Sleeve
yy Bypass
Prior to January 1, 2013, the
pre-operative evaluation and
additional medically necessary
evaluations and testing provided by
the participating Network Provider
may be eligible subject to the
HealthChoice plan of benefits and
policy provisions. The 2012 and
2013 out of pocket maximums will
apply to each calendar year.
Some complications of a
Bariatric Surgery are included
in the reimbursement until the
member is discharged from the
facility. Some complications
may be billed separately prior
to discharge. All services are
subject to the HealthChoice plan
of benefits and policy provisions.
Complications that arise after
the discharge date are subject to
HealthChoice plan of benefits and
policy provisions.
The Bariatric Surgical
procedure is contracted only
through the following Bariatric
Surgery Centers of Excellence:
Bailey Medical Center,
Owasso, Oklahoma 1-918-376-
8410
1. Katsis, Steven, M.D.
1-918-272-6333
2. Kirk, JoeBob, D.O.
1-918-272-6333
3. Varnell, Brandon, M.D.
1-918-272-6333
Norman Regional Hospital,
Norman, Oklahoma 1-405-307-
3028
1. Keith, Ronnie, D.O.
1-405-360-7100
2. Nelson, Lana, D.O.
1-405-735-2049
Only approved HealthChoice
members that are certified for one
of the procedures will receive
benefits under this Bariatric
Surgery Pilot Program.
If you have questions, call HP
Administrative Services, LLC at
1-405-416-1788 or 1-405-416-
1782. For certification, please call
APS Healthcare at 1-405-917-0815
or 1-405-917-0814.

#2789
Network News Fall Edition 2012
Employees Group Insurance Division
Of the Office of Management and Enterprise Services
HealthChoice to Implement
Bariatric Surgery Pilot Program
He lthChoice Provider
Our Name Has
Changed
On August 24, 2012,
OSEEGIB, the plan administrator
for HealthChoice, Department
of Corrections (DOC), and
Department of Rehabilitation
Services (DRS) changed its name.
We are now called the Employees
Group Insurance Division (EGID)
of the Office of Management and
Enterprise Services (OMES).
Our website has been updated
to reflect our new name; however,
providers should be aware that they
will continue to receive the same
dedicated service we have always
provided.
HealthChoice is offering a
Bariatric Surgery Pilot Program
to 100 members starting January
1, 2013. The focus of this pilot
program is to achieve quality
outcomes and the improved health
of our approved members.
The first 100 members
that meet the participation and
certification criteria will be
allowed in the Bariatric Surgery
Pilot Program. Clinical criteria is
determined by certification through
the HealthChoice certification
administrator.
Participation criteria:
yy Age 25–55
yy Non-tobacco user
yy No other primary group
health coverage or primary
coverage with Medicare
yy Member must be covered
under the HealthChoice
plan 2 years prior to and
2 years after the approved
surgery date
yy HealthChoice USA and
HealthChoice Alternative
Plan participants are not
eligible.
The Bariatric Surgery
procedures available are:
yy Band
yy Sleeve
yy Bypass
Prior to January 1, 2013, the
pre-operative evaluation and
additional medically necessary
evaluations and testing provided by
the participating Network Provider
may be eligible subject to the
HealthChoice plan of benefits and
policy provisions. The 2012 and
2013 out of pocket maximums will
apply to each calendar year.
Some complications of a
Bariatric Surgery are included
in the reimbursement until the
member is discharged from the
facility. Some complications
may be billed separately prior
to discharge. All services are
subject to the HealthChoice plan
of benefits and policy provisions.
Complications that arise after
the discharge date are subject to
HealthChoice plan of benefits and
policy provisions.
The Bariatric Surgical
procedure is contracted only
through the following Bariatric
Surgery Centers of Excellence:
Bailey Medical Center,
Owasso, Oklahoma 1-918-376-
8410
1. Katsis, Steven, M.D.
1-918-272-6333
2. Kirk, JoeBob, D.O.
1-918-272-6333
3. Varnell, Brandon, M.D.
1-918-272-6333
Norman Regional Hospital,
Norman, Oklahoma 1-405-307-
3028
1. Keith, Ronnie, D.O.
1-405-360-7100
2. Nelson, Lana, D.O.
1-405-735-2049
Only approved HealthChoice
members that are certified for one
of the procedures will receive
benefits under this Bariatric
Surgery Pilot Program.
If you have questions, call HP
Administrative Services, LLC at
1-405-416-1788 or 1-405-416-
1782. For certification, please call
APS Healthcare at 1-405-917-0815
or 1-405-917-0814.